2016-673-E Finance - Inter-Faith Council for Social Service - Outside Agency Performance Agreement

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DocuSign Envelope ID:82431AC9-7F03-4084-815E-A2EFB34C92BB t A - continued ProvikrA'fi9\iftqydgabi,ci Application Program Budget Detail What is the cost to deliver your project/program? List each project/program element in the table below, including the cost of each element, the quantity and unit of measure, and the subtotal for each element. Where necessary, allocate costs to the use of shared space, vehicles or equipment. Example Program: Credit Counseling Class Cost Elements Cost($) Quantity/Unit of Measure Subtotal ($) Credit Counseling Teacher–in class $25 96 hours(8 hrstmth x 12 months) $2,400 Credit Counseling Teacher—class prep $25 48 hours (4hrs/mth x 12 mths) $1,200 Credit Counselor—one-on-one $20 120 hours(10 hrstmth x12 mths $2,400 Materials $25 120 course packets/credit reports $3,000 Total $9,000 Complete the table below for the project/program for which you are requesting funds. Attach additional rows/pages, as needed. Program: Cost Elements Cost($) Quantity/Unit of measure Subtotal ($) One grocery bag of essential food items $10.11 15,000 $ 151,597 One nutritious meal at Community Kitchen $ 3.56 60,312 $ 216,453 One night of safe shelter at Community House $33.47 16,000 $535,521 One night of safe shelter at HomeStart $37.00 11,000 $407,014 Support Circle for one household $2,825.30 10 $28,253 Total $1,338,838 b.) Cost per Unit—emergency pantry , 1 Actual 2014-15 Estimated 2015-16 Projected 2016-17 Total Cost of Program $ 168,147 $ 151,597 $ 151,597 Total # of Units 15,338 15,000 15,000 Cost Per Unit $ 10.96 $10.11 $ 10.11 This Cost Per Unit must reflect the total program budget and the total number of program beneficiaries (households or persons) in this application and must be consistent with report submittals from previous years (if applicable). Main Application 1/25/2016 12:58:53 PM Page 29 of 33